Mallory K Vukovic
Dentist in Randolph, Massachusetts
1124767843- Practice location
- 96 N Main St, Randolph, MA 02368-4606
- Phone
- 781-805-3001
- Fax
- —
- Last updated
- September 10, 2024
Mallory Katherine Vukovic is a Dentist based in Randolph, MA. Mallory Katherine Vukovic practices in Randolph, MA. The NPI Number for Mallory Katherine Vukovic is 1124767843 and holds a License No. DN1859459 (MA). The current practice location address for Mallory Katherine Vukovic is 96 N Main St, Randolph, MA 02368-4606 and can be reached out via phone at 781-805-3001.
Provider Profile Details
- NPI Number
- 1124767843
- Provider Name
- Mallory Katherine Vukovic
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 96 N Main St, Randolph, MA 02368-4606
- Phone Number
- 781-805-3001
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 1, 2022
- Last Update Date
- September 10, 2024
- Certification Date
- September 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 96 N Main St
Randolph, MA 02368-4606 - City
- Randolph
- State
- Massachusetts
- Zip
- 02368-4606
- Phone Number
- 781-805-3001
Provider Business Mailing Address Details
- Address
- 428 W 2ND St Apt 2
Boston, MA 02127-1376 - City
- Boston
- State
- MA
- Zip
- 02127-1376
License Information
- License Number (1)
- DN1859459
- License State (1)
- MA
- Taxonomy (1)
- Dentist · 122300000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Randolph, MA
View all Dentists in Randolph →Frequently Asked Questions
What is the NPI number of Mallory K Vukovic?
The NPI number of Mallory K Vukovic is 1124767843. It was assigned on June 1, 2022 and is currently active in the NPPES registry.
What is the specialty of Mallory K Vukovic?
Mallory K Vukovic is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859459.
Where does Mallory K Vukovic practice?
The practice location is 96 N Main St, Randolph, MA 02368-4606. The office can be reached at 781-805-3001 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124767843 directly on the NPPES registry website.